Laserfiche WebLink
Fees(must accompany form): <br /> Burnett County Subdivision Permit Application Subdivision w/o Survey: $50.00 <br /> Survey of Existing Parcel: $50.0011ot <br /> and/or Pre-Application Form Subdivision w/Survev: $200.00+$50.00/lot <br /> Owner: -�v� - �cTc . S�a. r Buyer: <br /> z <br /> Address: \\\00 C-r.ac�v1 ��\ C�. Address: 9 <br /> (� tn� 236'7 51 S1" <br /> 1h Irhe P✓IV .. <br /> Phone: Phone: QJ <br /> buoc, (all,&14)6�1,b2z Original Parcel Information <br /> Parcel ID#: O\�o" 14-IN- O L 660 5 Section —Township c_Range <br /> O <br /> F <br /> Original Description (or attach copy): C 5`rr\ V 10 y "%s <br /> C_ and Z-/4- <br /> > <br /> 9 J <br /> Current Zoning: VA12-n�-( Floodplain Yo WetlandsL9/N: <br /> s <br /> Lake/River Classification: Name of Water Body: — o <br /> 0 <br /> Shoreland Agreemt or SIPS Y&:=Farmland Preservation Y.® Managed Forestry Law Y IV. <br /> New Parcel Information yy <br /> Proposed New Legal Description and Parcel Size: Lv! Cat-j;f .cf Sui-,el. <br /> Acres: 30 <br /> (If parcel is to be surveyed,provide preliminary map. See attached for preliminary map requirements.) <br /> Proposed access to public road: EX i t I„� d <br /> Proposed access to public waters to be provided YQ <br /> If yes,describe access: 0 <br /> C� <br /> o Signature of Owner: Date: OQ <br /> _ <br /> 0° Signature of Owner: Date: <br /> c <br /> ➢ Does parcel meet Zoning Requirements? Yes No <br /> ae <br /> ➢ Does parcel require a Survey? Yes No 0 0 0 o p 0 <br /> Permit application fees submitted? ❑ Amount$ D Receipt# r <br /> w w <br /> n, tUW MW'P 90 <br /> y <br /> 11 Reconciles with Real Property Lister Yes No Date: X cc 4: 4- <br /> If not,explain: w <br /> 6�ScC <br /> Applicata . A enied Reason for Denial: <br /> Land Use /��-�� Date• 3` 3 'Q <br />